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Home My WebLink About302829 09/08/16 CITY OF CARMEL, INDIANA VENDOR: 371101 ONE CIVIC SQUARE SAMANTHA WOOTTEN CHECK AMOUNT: $*******564.00* CARMEL, INDIANA 46032 1312 E 126TH ST CHECK NUMBER: 302829 9•yi roN'�°� CARMEL IN 46033 CHECK DATE: 09/08/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 2000114026 444.00 REFUNDS AWARDS & INDE 1081 4358400 2000115026 120.00 REFUNDS AWARDS & INDE Voucher No. Warrant No. Wootten, Samantha Allowed 20 1312 E 126th St Carmel, IN 46033 In Sum of$ $ 564.00 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-5 2000115026 4358400 $ 120.00 1 hereby certify that the attached invoice(s), or 1081-5 2000114026 4358400 $ 444.00 bill(s) is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except September 6, 2016 Signature $ 564.00 Business Services Director Cost distribution ledger classification if. Title claim paid motor vehicle highway fund ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Wootten, Samantha Terms 1312 E 126th St Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/31/16 2000115026 Refund $ 120.00 8/31/16 2000114026 Refund $ 444.00 Total $ 564.00 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer Receipt#2000115.026 Page 1 of 1 SEP 0 2016 _ Mohawk Trails Elemen a TO_VChe. #2��01106; 4242 E 126th Street -- 'l`— - - Carmel, IN 46033 A"u9 31 X1,601 A y��.k,., Phone: (317) 418-8475 FAX: -- IL ff Email: info@carmelclayparks.com Carmel Clay Parks&Recr S�LIAIILTHA WOOTfEN_,_ NATIONAL GOLD MEDAL WINNER eaRMEL;IN4603 AND ACCREDITED AGENCY Prepared By: cyndic Customer ID: 34484 Primary phone: (314) 452-4883, Secondary phone: (314) 537-3567 Refund Summary Check, ($124LO0_).Chee #, Total Received: ($120.00) Total Refund: ($120.00) Transactions Customer Description Item Unit Qty Fee Charge Samantha Wootten Refund balance Refund Each 1.00 $120.00 ($120.00) 1312 E.126th St Action: Refund Balance balance Carmel,IN 46033 Primary phone:(314)452- 4883 Email: mkpgoddess@hotmaii.com ID:34484 ho!:; .��,° *��-.—,. v:otal�4Paytnants,i �1�70 00, Balance $0 VM https://anprod.active.com/cannelelayi)arks/servlet/ShowReceiDt.sdi?receintheader id=3570 9/1/1)n1 ti Receipt#2000114.026 Page l of 1 IG Mohawk Trails Elementa ��'`� 2016 R �h JOZUr er #>�, 2000�114,.026 4242 E 126th Street z t �'f Aug,31,+2016 11 1;5 AM Carmel; IN 46033 Phone: ,(317) 418-8475 FAX: --' Email: Carm.,.. einfo@carmeiclayparks.com . Park, 8&' Rvbcreaion r J �' a a a'4)t TINE GOLD MEDAL II�I�E A`I�IAN,TFA--.,2 WOOTT EN 13;12�� 1+ 6TH`ST r AND ACCREDITED AGENCY r Prepared By: cyndic Customer.ID: 34484 Primary phone: (314) 452-4883, Secondary phone:-(314) 537-3567 Refund Summary Checkh; l�(fj$444 00� Check'# ' Total Received: v,':ar;,",r($444 00) ,,!;t.,;.':. Total Refund:. ($444:00) Transactions Customer Description Item Unit Qty Fee Charge Genevieve outland Mohawk Trails After-School (Monthly): Aug 1, 2016 ESE, Each 1.00 .$222.00 ($222.00)• 1312 E.126th St -Aug 31, 201.6#5726 Enrollment Carmel,IN 46033 Action:Extended-School Enrichment FlexReg Fees Primary phone:.(314)452- Refund (Monthly) 4883 Email: mkpgoddess@hotmall.com ID:34485 Cate Outland Mohawk Trails After=School (Monthly): Aug 1, 2016 ESE Each 1.00. '$222.00 .($222.00) i3i2 E.126th St -Aug 3.1,2016#5726 Enrollment Carmel,IN 46033 Action: Extend ed'School-Enrichment.FlexReg Fees Primary phone:(314).452-. RefUnd (Monthly) 4883 Email: mkpgoddess@hotmaii.com ID:49446. Total Charges ($44.4.00). Total Payments($444-.00)- Balance $0 Federal Tax ID # 35-6000972 https:Hanprod.active.com/cArmelplayparks/servlet/`ShowReceipt.sdi?receipthead _ =357.:.. 8/31/20.16 .